Application for a non-material amendment following a grant of planning permission.

Town and Country Planning Act 1990

Publication of applications on planning authority websites

Please note that the information provided on this application form and in supporting documents may be published on the authority's website. If you require any further clarification, please contact the Authority's planning department.

Please complete using block capitals and black ink.

It is important that you read the accompanying guidance notes as incorrect completion will delay the processing of your application.

| 1. Applicant Name and Address | 2. Agent Name and Address | |-------------------------------|---------------------------| | Title: Mr | Title: | | First name: JOHN | First name: | | Last name: HILLMAN | Last name: | | Company (optional): | Company (optional): | | Unit: | Unit: | | House number: 12 | House number: | | House suffix: | House suffix: | | House name: GLENHAVEN | House name: | | Address 1: WHITE EDGE DRIVE | Address 1: | | Address 2: BASLOW | Address 2: | | Address 3: | Address 3: | | Town: BAKEDWELL | Town: | | County: DERBYSHIRE | County: | | Country: UK | Country: | | Postcode: DE45 1SS | Postcode: |

1. Site Address Details

Please provide the full postal address of the application site.

Unit: [ ]

House number: [ ]

House suffix: [ ]

House name: [ ]

Address 1: [ ]

Address 2: [ ]

Address 3: [ ]

Town: [ ]

County: [ ]

Postcode (optional): [ ]

Description of location or a grid reference. (must be completed if postcode is not known):

Easting: [ ]

Northing: [ ]

Description: [ ]

As above

4. Pre-application Advice

Has assistance or prior advice been sought from the local authority about this application? [ ] Yes [ ] No

If Yes, please complete the following information about the advice you were given. (This will help the authority to deal with this application more efficiently).

Please tick if the full contact details are not known, and then complete as much as possible [ ]

Officer name: [ ]

Reference: [ ]

Date of advice (DD/MM/YYYY): [ ]

Details of pre-application advice received:

5. Eligibility

Do you, or the person on whose behalf you are making this application, have an interest in the part of the land to which this amendment relates? [ ] Yes [ ] No

If you have answered No to this question, you cannot apply to make a non-material amendment.

If you are not the sole owner, has notification under article 9 of the DMPO been given? [ ] Yes [ ] No [ ] Not Applicable

If you have answered No to this question, you cannot apply to make a non-material amendment.

If you have answered Yes to this question, please give details of persons notified:

| Person Notified | Address | Date of Notification | |-----------------|---------|----------------------| | | | | | | | | | | | | | | | |

5. Authority Employee / Member

With respect to the Authority, I am:

(a) a member of staff (b) an elected member (c) related to a member of staff (d) related to an elected member

Do any of these statements apply to you? [ ] Yes [ ] No

If yes please provide details of the name, relationship and role A MINERAL STONE TO EXISTING PROPERTY

Intend to convert existing barn

Country building into a high quality family home.

Reference number: NP/PP/0019/0171

Date of decision: 23.06.2017

What was the original application type?

- Full Householder and Listed Building Outline

For the purpose of calculating fees, which of the following best describes the original application type?

- Householder development: development to an existing dwelling house or development within its curtilage

Other: anything not covered by the above category

3. Non-Material Amendment(s) Sought

Please describe the non-material amendments you are seeking to make:

- Change of wall back to natural stone
- Change roof tile to slate
- Change window surrounds to include James & Headstone tiles
- Detail chimney

Are you intending to substitute amended plans or drawings?

- Yes
- No

If yes, please complete the following:

Old plan drawing number(s):

New plan drawing number(s):

PDF 1, PDF 2

Please state why you wish to make this amendment:

Not possible to source gritstone dales 130's in quantity required. Other changes are to conform to the stone change, plus chimney detail. 9. Application Requirements - Checklist

Please read the following checklist to make sure you have sent all the information in support of your proposal. Failure to submit all information required will result in your application not being accepted. It will not be accepted until all information required by the local Planning Authority has been submitted.

The original and 3 copies of a completed and dated application form:

The original and 3 copies of other plans and drawings or information necessary to describe the subject of the application:

The correct fee:

10. Declaration

We hereby apply for planning permission/consent as described in this form and the accompanying plans/drawings and additional information.

Signed - Applicant: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Or signed - Agent: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Date (DD/MM/YYYY): 31/7/17

11. Applicant Contact Details

Telephone numbers

Country code: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ National number: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Extension number: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Country code: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Mobile number (optional): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Country code: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Fax number (optional): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Email address (optional): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

12. Agent Contact Details

Telephone numbers

Country code: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ National number: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Extension number: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Country code: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Mobile number (optional): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Country code: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Fax number (optional): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Email address (optional): \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

13. Site Visit

Can the site be seen from a public road, public footpath, bridleway or other public land? □ Yes □ No

If the planning authority needs to make an appointment to carry out a site visit, whom should they contact? (Please select only one)

□ Agent □ Applicant □ Other (if different from the agent/applicant's details)

Contact name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Telephone number: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Email address: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_